Pain management最新文献_第2页

Pain-relieving effect of dynamic orthosis for lateral epicondylitis: a pilot crossover study. 动态矫形器治疗外侧上髁炎的镇痛效果：一项交叉试验研究。

IF 1.5

Pain management Pub Date : 2025-11-01 Epub Date: 2025-09-18 DOI: 10.1080/17581869.2025.2561396

Kazuhiro Ikeda, Akira Ikumi, Shinzo Onishi, Takeshi Ogawa, Sho Kohyama, Yuichi Yoshii

{"title":"Pain-relieving effect of dynamic orthosis for lateral epicondylitis: a pilot crossover study.","authors":"Kazuhiro Ikeda, Akira Ikumi, Shinzo Onishi, Takeshi Ogawa, Sho Kohyama, Yuichi Yoshii","doi":"10.1080/17581869.2025.2561396","DOIUrl":"10.1080/17581869.2025.2561396","url":null,"abstract":"Aim: We developed a simple dynamic orthosis for lateral epicondylitis (DOLE) assisting wrist extensors. This study aimed to compare the pain-relieving effects of DOLE and the counterforce brace in patients with lateral epicondylitis during pickup motion.Patients & methods: Eighteen patients with lateral epicondylitis performed a pickup test using a 1 kg sandbag under three conditions: without a brace, with a counterforce brace, and with DOLE. Pain during the task was assessed using a visual analogue scale (VAS). The pain-relieving effect was calculated as the percentage reduction in VAS compared to baseline (without an orthosis).Results: The VAS in the pickup test was 63.2±18.8 mm without orthosis, 53.9±21.0 mm with the counterforce brace, and 38.9±17.0 mm with DOLE. The pain-relieving effect was 0.11 (0-0.20) for the counterforce brace and 0.38 (0.24-0.52) for DOLE, which was greater in DOLE than in the counterforce brace (p = 0.001).Conclusion: DOLE significantly reduced lateral elbow pain during pickup motion, outperforming the counterforce brace; however, given the relatively small sample size, these findings should be interpreted as preliminary evidence requiring confirmation in larger longitudinal studies. Its simple, worker-friendly design and strong pain-relief effect suggest its potential utility in treating lateral epicondylitis.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"819-826"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interventional pain management focused on zygapophysial joint pain: current landscape and future perspectives. 关节关节疼痛的介入治疗：现状和未来展望。

IF 1.5

Pain management Pub Date : 2025-10-24 DOI: 10.1080/17581869.2025.2579000

Johan Hambraeus

引用次数: 0

AI-guided EMS for chronic musculoskeletal pain: subgroup-level outcomes from a digital health platform. 人工智能引导的EMS治疗慢性肌肉骨骼疼痛：来自数字健康平台的亚组水平结果

IF 1.5

Pain management Pub Date : 2025-10-24 DOI: 10.1080/17581869.2025.2579497

Maja Green, Adam Cabble, Maria Kappell, Shari Kappell, Varun Chakravarti, Krishnan Chakravarthy

{"title":"AI-guided EMS for chronic musculoskeletal pain: subgroup-level outcomes from a digital health platform.","authors":"Maja Green, Adam Cabble, Maria Kappell, Shari Kappell, Varun Chakravarti, Krishnan Chakravarthy","doi":"10.1080/17581869.2025.2579497","DOIUrl":"https://doi.org/10.1080/17581869.2025.2579497","url":null,"abstract":"Objective: Chronic musculoskeletal pain is common and lacks effective long-term therapies. Transcutaneous electrical nerve stimulation (TENS) and electrical muscle stimulation (EMS) offer noninvasive alternatives, but conventional devices are limited by static protocols and poor adherence. The NXTSTIM EcoAI platform integrates TENS/EMS with artificial intelligence to deliver personalized, adaptive therapy. This study examined 24-month real-world outcomes of EcoAI, focusing on usage and subgroup-level efficacy.Methods: A retrospective analysis was conducted using de-identified data from 2,050 adults using EcoAI at home. The primary endpoint was change in pain intensity (0-10 numeric rating scale). Secondary endpoints included functional status, session engagement, and qualitative pain self-efficacy.Results: Across ~185,000 sessions, users reported significant pain reduction. Mean pain decreased by 2.4 points (p < 0.001), exceeding 30% improvement, with benefits sustained at 12 and 24 months. Functional interference and mood improved significantly (p < 0.01). Older adults (≥60 years) achieved comparable or greater relief despite slightly lower usage. No serious adverse events occurred. Findings aligned with prior EcoAI analyses showing optimal outcomes with 2-4 daily sessions of 20-59 minutes.Conclusion: EcoAI provided clinically meaningful, durable pain relief with improved function and mood, supporting personalized home-based neuromodulation as a safe, effective adjunct for chronic musculoskeletal pain.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145355668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spinal cord stimulation protocols for modern pain management: from two-stage models to direct-to-implant strategies. 现代疼痛管理的脊髓刺激方案：从两阶段模型到直接植入策略。

IF 1.5

Pain management Pub Date : 2025-10-22 DOI: 10.1080/17581869.2025.2577089

Pasquale De Negri, Clara De Negri, Fabio Turco

{"title":"Spinal cord stimulation protocols for modern pain management: from two-stage models to direct-to-implant strategies.","authors":"Pasquale De Negri, Clara De Negri, Fabio Turco","doi":"10.1080/17581869.2025.2577089","DOIUrl":"https://doi.org/10.1080/17581869.2025.2577089","url":null,"abstract":"The direct-to-implant (DTI) approach to spinal cord stimulation (SCS) represents an emerging paradigm in the treatment of chronic neuropathic pain. Unlike the conventional two-stage models, which include a preliminary trial phase, the DTI strategy involves immediate permanent implantation in carefully selected patients. This article explores the rationale, clinical outcomes, and practical implications of adopting a single-stage implantation model. Drawing on recent evidence from randomized trials, real-world studies, health economic analyses, and patient preference data, this perspective highlights how the DTI approach may achieve comparable long-term pain relief and functional improvement while minimizing procedural burden, infection risk, and healthcare costs. It also discusses the essential role of rigorous patient selection and intraoperative assessment in ensuring safe and effective use of this model. The literature discussed was identified through non-systematic searches of PubMed, Scopus, and Google Scholar (January 2010-May 2025). By focusing on the clinical and economic value of DTI, this article challenges the assumption that a trial phase is universally necessary and proposes a more flexible, evidence-informed strategy for SCS implantation. As healthcare systems increasingly emphasize patient-centered and cost-effective care, the DTI strategy emerges as a practical and efficient option for managing chronic pain in carefully selected patients.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing headache management: Integrating primary care and patient-centered approaches. 优化头痛管理：整合初级保健和以患者为中心的方法。

IF 1.5

Pain management Pub Date : 2025-10-22 DOI: 10.1080/17581869.2025.2577627

Bhuvan Kc, Christina Malini Christopher

引用次数: 0

Electroencephalographic correlates of pain catastrophizing in chronic musculoskeletal pain: a scoping review. 慢性肌肉骨骼疼痛灾难化的脑电图相关：范围回顾。

IF 1.5

Pain management Pub Date : 2025-10-21 DOI: 10.1080/17581869.2025.2577624

Cory Alcon, Cassidy Krieger, Melike Kahya

{"title":"Electroencephalographic correlates of pain catastrophizing in chronic musculoskeletal pain: a scoping review.","authors":"Cory Alcon, Cassidy Krieger, Melike Kahya","doi":"10.1080/17581869.2025.2577624","DOIUrl":"https://doi.org/10.1080/17581869.2025.2577624","url":null,"abstract":"Intro: Individuals with chronic musculoskeletal pain (CMP) and high pain catastrophizing demonstrate functional and structural brain changes via functional magnetic resonance imaging that may serve as useful neural correlates. Yet, few studies take advantage of electroencephalography (EEG), a more cost effective and accessible tool. Utilizing EEG to further establish clinical characteristics of pain catastrophizing may assist in developing novel interventions that modulate brain activity and expand the depth at which CMP is treated.Methods: Search strings were entered into PubMed, ProQuest Central, and Scopus and included keywords such as pain catastrophizing and electroencephalography. Articles retrieved underwent blinded review by two independent reviewers.Results: Seven studies identified significant relationships between EEG measures and pain catastrophizing while five studies found no relationship. Increased pain catastrophizing was found to be correlated with decreased P2 amplitudes, lower signal attenuation following sensory stimuli, increased lagged coherence connectivity, and lower frontal apply asymmetries.Conclusion: Low-quality evidence demonstrates that neurophysiological relationships may exist between pain catastrophizing and brain regions commonly associated with pain processing. These relationships highlight potential targets for novel interventions aiming to modulate those brain regions to promote recovery of CMP. Further research is needed to better understand the relationship between pain catastrophizing and EEG measures.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pain experiences and pain management among patients with different pain locations in a high-density Asian city. 在一个高密度的亚洲城市，不同疼痛部位患者的疼痛经历和疼痛管理。

IF 1.5

Pain management Pub Date : 2025-10-21 DOI: 10.1080/17581869.2025.2577086

Wentao Bai, Hung Chak Ho, Chi Wai Cheung

{"title":"Pain experiences and pain management among patients with different pain locations in a high-density Asian city.","authors":"Wentao Bai, Hung Chak Ho, Chi Wai Cheung","doi":"10.1080/17581869.2025.2577086","DOIUrl":"https://doi.org/10.1080/17581869.2025.2577086","url":null,"abstract":"Background: The shift in pain experiences and self-administered management after COVID in high-density Asian cities has not yet been sufficiently researched.Methods: We included pain locations with ≥100 respondents from a population-based survey of 3,237 community-dwelling patients in Hong Kong. The prevalence of pain experience and self-administered pain management was estimated. Univariate regressions were used to examine differences in the associations between pain and behavior before and after the pandemic.Results: The highest pain intensity shifted from menstrual/back pain patients to headache/muscle pain patients. Patients with joint/bone, muscle, head, and back pain increasingly stated that they were \"highly affected by daily life.\" Patients with joint, bone, muscle, and head pain had a greater impact on work. The number of patients with joint/bone pain seeking \"help\" from bone setters decreased. In addition, more patients used pain-related health behaviors after COVID-19; however, they also rated the effectiveness of treatment and health behaviors lower. The shifts in prevalence were not due to an increase in perceived pain intensity after COVID-19.Conclusion: Despite the difference in pain location, the pain experience after the pandemic shifted negatively. However, self-administered pain management in community-dwelling patients has shifted to informal ways, with fewer appropriate treatments.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Eye-tracking enables reliable pain assessment in intubated SCI patients and is not associated with self-appraisals. 眼动追踪能够对插管脊髓损伤患者进行可靠的疼痛评估，并且与自我评估无关。

IF 1.5

Pain management Pub Date : 2025-10-12 DOI: 10.1080/17581869.2025.2570118

Christina Ingwald, Robert Gaschler, Uwe Hamsen, Aileen Spieckermann, Thomas Armin Schildhauer, Oliver Cruciger, Christian Waydhas, Christopher Ull

{"title":"Eye-tracking enables reliable pain assessment in intubated SCI patients and is not associated with self-appraisals.","authors":"Christina Ingwald, Robert Gaschler, Uwe Hamsen, Aileen Spieckermann, Thomas Armin Schildhauer, Oliver Cruciger, Christian Waydhas, Christopher Ull","doi":"10.1080/17581869.2025.2570118","DOIUrl":"https://doi.org/10.1080/17581869.2025.2570118","url":null,"abstract":"Aims: To examine whether eye-tracking (ET) enables reliable self-report of pain in intubated patients with spinal cord injury (SCI) and to explore associations between pain and psychological self-appraisals.Methods: In this prospective observational study, 75 mechanically ventilated ICU patients (46 SCI, 29 non-SCI) completed pain assessments using a Tobii Dynavox ET device. Pain was measured via the Numeric Rating Scale (NRS) and the EQ-5D-5L pain dimension. Self-esteem, anxiety, and depression were measured with the Visual Analogue Self-Esteem Scale (VASES).Results: NRS and EQ-5D pain ratings showed strong correlation (r = 0.78, p < 0.001). Pain intensity did not differ significantly between SCI and non-SCI groups. No significant associations were observed between pain and self-esteem, anxiety, or depression. A Bland - Altman plot confirmed agreement between NRS and EQ-5D pain scores.Conclusions: ET enables reliable pain self-report in intubated ICU patients with severely limited communication. Pain ratings were independent of psychological self-appraisals, suggesting ET offers a feasible, patient-centered tool for assessing pain in this population.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gabapentinoids in carpal tunnel syndrome: between clinical practice and scientific evidence. 加巴喷丁类药物治疗腕管综合征：临床实践与科学证据之间的关系。

IF 1.5

Pain management Pub Date : 2025-10-09 DOI: 10.1080/17581869.2025.2570110

Enilton de Santana Ribeiro de Mattos, Alex Guedes, Eduardo Silva Reis Barreto, César Romero Antunes Júnior

引用次数: 0

Rethinking pain: a paradigm shift in primary care for chronic pain via community-based, culturally-responsive GP support. 重新思考疼痛：通过以社区为基础，文化响应全科医生支持慢性疼痛初级保健的范式转变。

IF 1.5

Pain management Pub Date : 2025-10-09 DOI: 10.1080/17581869.2025.2570114

Shahzad Jamil, Kerry Page, Asim Suleman, Ghazala Tabasam, Kate Thompson, Mark I Johnson

{"title":"Rethinking pain: a paradigm shift in primary care for chronic pain via community-based, culturally-responsive GP support.","authors":"Shahzad Jamil, Kerry Page, Asim Suleman, Ghazala Tabasam, Kate Thompson, Mark I Johnson","doi":"10.1080/17581869.2025.2570114","DOIUrl":"https://doi.org/10.1080/17581869.2025.2570114","url":null,"abstract":"Chronic pain presents a complex challenge in general practice, often leading to cycles of over investigation, overprescribing, and underutilization of holistic support. This article explores how GPs can be better supported to identify chronic pain early, make clinically appropriate decisions without overmedicalizing, and confidently signpost patients to non-medical pain support at the right time. Drawing on the example of Rethinking Pain in Bradford, England - a cross-sector initiative that invests in GP education and provides demedicalised, culturally informed, person-centered pain support - we argue for a shift in the primary care paradigm. Importantly, this approach recognizes the valuable and needed role of GPs in chronic pain care - one that does not necessarily require more time, but rather a shift in mindset and confidence. By enabling GPs to intervene more effectively and holistically, this model has the potential to reduce repeated consultations and break the cycle of high-frequency GP use among people living with chronic pain. Empowering GPs with the tools, training, and networks to navigate chronic pain holistically can reduce harm, improve outcomes, and align care with national strategies for sustainable pain management.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0